CMS Price Transparency Data

Blood antibody screen

Facility: Hancock Regional Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $142
  • Cash Discount Price: $132
  • vs. Medicare Baseline: 2.67x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Hancock Regional Hospital is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 2.67x the Medicare baseline. Located in 801 N State St, Greenfield, IN.
Cash / Self-Pay
$132

Average discount available for prompt cash payment at this facility.

Insurance Median
$142

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$53.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $53.24 (100%)
Cash / Self-Pay: $132 (248%)
Insurance Median: $142 (267%)
Cash: $132 (248% of Medicare)
Ins. Median: $142 (267% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $53.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 267% of the Medicare baseline (a markup of 167%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Allwell Mcr Adv - All Plans $10 19%
Beech Street Mcr Adv $10 19%
Blue Cross Blue Shield $10 - $132 19%
Caresource Mcr Adv $10 19%
Communicare Mcr Adv - All Plans $10 19%
Humana $10 - $168 19%
Iu Health Mcr Adv $10 19%
Mhs/Mdwise Mcaid-All Plans $10 19%
Triwest - All Plans $10 19%
UnitedHealthcare $10 - $137 19%
Va Ccn - All Plans $10 19%
Ambetter / Centene $20 38%
Caresource Comm - All Other Plans $24 45%
Iu Health-All Other Plans $27 51%
Ascension - All Plans $116 - $133 218%
Aetna $117 - $177 220%
Cigna $123 - $142 231%
Encore Encircle $123 - $142 231%
Hancock Phys Network-All Plans $123 - $142 231%
Unified Group Services- All Plans $123 - $142 231%
Advantage Self Funded Ppo-All Other Plans $126 - $145 237%
Healthmark/Healthchoice-All Plans $126 - $145 237%
Sagamore-All Plans $126 - $145 237%
Encore-All Other Plans $131 - $150 246%
Consumers Life-All Plans $136 - $156 255%
St Vincent Cmo-All Plans $136 - $156 255%
Siho-All Plans $139 - $159 261%
Great West-All Plans $142 - $163 267%
Savility - All Plans $142 - $163 267%
Cofinity/Ppom - All Plans $143 - $165 269%
First Health/Coventry-All Plans $145 - $166 272%
Mail Handlers-All Plans $145 - $166 272%
Golden Rule Ins-All Plans $146 - $168 274%
Indiana Health Network-All Plans $146 - $168 274%
Phcs-All Plans $146 - $168 274%
Beech Street Ppo - All Other Plans $148 - $170 278%
Comm Hlth Alliance - All Plans $149 - $172 280%
Multiplan-All Plans $151 - $173 284%
Advantage Preferred Plus $154 - $177 289%
Healthy Indiana Plan-All Plans $154 - $177 289%
Copps - All Plans $317 - $365 595%
Pro Health - All Plans $462 - $531 868%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 N State St, Greenfield, IN 46140
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals